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FM OSA 016 Guidance Information Sheet

This document is a guidance information sheet for students of the Technological University of the Philippines that collects personal background information. It requests information about the student's name, age, address, parents' details like name, occupation and income, the student's educational history, organizations involved in, skills and hobbies. The purpose is to gather data that can help students academically, socially and emotionally while maintaining confidentiality.

Uploaded by

Eduard Elizar Ocoy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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132 views1 page

FM OSA 016 Guidance Information Sheet

This document is a guidance information sheet for students of the Technological University of the Philippines that collects personal background information. It requests information about the student's name, age, address, parents' details like name, occupation and income, the student's educational history, organizations involved in, skills and hobbies. The purpose is to gather data that can help students academically, socially and emotionally while maintaining confidentiality.

Uploaded by

Eduard Elizar Ocoy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES

TAGUIG CITY GUIDANCE INFORMATION


The Technological University of the Philippines shall be the premiere state university with recognized
excellence in engineering and technology education at par with the leading universities in the ASEAN region.
SHEET
FM-OSA-016 REV 0 30JAN2017

CONFIDENTIAL
The purpose of this instrument is to gather information about student background in order to assist you
academically, socially and emotionally. The data gathered will be treated with utmost confidentiality. You are to be
specific and accurate in supplying the data.
School Year: ______________ Section: ________ Course: _________________ Student Number:_______________
Name: ______________________________________________ Age: _____________ Civil Status: ______________
Date of Birth: ___________________________ Place of Birth: ___________________________________________
Present Address: _______________________________________________________________________________
Contact Number: _________________ Provincial Address: ______________________________________________
Cellphone Number: _____________________ Physical Disability (if any): ___________________________________
PARENT’S INFORMATION FATHER MOTHER
Name:
Please Check: ( ) Living ( ) Deceased ( ) Living ( ) Deceased
Date of Birth / Age / /
Place of Birth:
Contact Number:
Home Address:
Religion:
Occupation:
Monthly Income:
Civil Status of Parents
____ Married & Living Together _____ Living but not married ______ One Parent Living
____ Married but Separated _____ Married and Living Together Abroad ______ Orphan, No Parent Living
____ Widowed but Remarried _____ Married and Living Together in the Province
No. of Children in the family: ________ How many brothers: _____________ How many sisters: _____________
List of Brothers and Sisters in order of birth including you:
First Name Age School/Occupation First Name Age School/Occupation
1. ________________ ______ __________________ 6. ________________ _____ _____________________
2. ________________ ______ __________________ 7. ________________ _____ _____________________
3. ________________ ______ __________________ 8. ________________ _____ _____________________
4. ________________ ______ __________________ 9. ________________ _____ _____________________
5. ________________ ______ __________________ 10. _______________ _____ _____________________
If living with guardian, Guardian’s Name: __________________________ Relationship: _______________________
Contact Number: ________________________
Educational Background:
Year Attended Honors/ Awards Received
Grade School:____________________________ ______________________ _____________________________
High School: _____________________________ ______________________ _____________________________
College: ________________________________ ______________________ _____________________________
Organization Position Year
_______________________________________ _____________________________ ______________________
_______________________________________ _____________________________ ______________________
_______________________________________ _____________________________ ______________________
Special Skills: _________________________________________________________________________________
Hobbies: _____________________________________________________________________________________
If working student:
Name of Company: ___________________________________________ Years Connected: ___________________
Address of the Company: _________________________________________________________________________
Position: _________________________________________________ Status of Employment: __________________
Name of immediate supervisor: ____________________________________________________

__________________________
Signature over Printed Name
Date: _____________________

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